FORM 1023-EZ for RESTORED BY GRACE INC

Field Data
EIN 83-2149793
Case Number EO-2019029-000501
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name RESTORED BY GRACE INC
Organization’s Mailing Address 1024 W CENTRAL AVE
City ULYSSES
State KS
ZIP 67880
Accounting period End 12
Primary contact name BOBBI JO HICKOCK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DEBORAH FAULKNER
DIRECTOR
PO BOX 629
ULYSSES KS 67880

Officer/Director/Trustee Two

DIANA SWENSON
DIRECTOR
PO BOX 216
ULYSSES KS 67880

Officer/Director/Trustee Three

CRYSTAL MCGLOHON
DIRECTOR
818 N ARAPAHOE
ULYSSES KS 67880

Officer/Director/Trustee Four

DENISE WOOD
DIRECTOR
217 S DURHAM ST
ULYSSES KS 67880

Officer/Director/Trustee Five

AMY MYKYTIUK
DIRECTOR
106 S MCCALL
ULYSSES KS 67880

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/20/17
Organization Incorporation State KS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P29 - Thrift Shops
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee No
Donation of funds No
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance No
One Third Support Public No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name DEBORAH FAULKNER
Signature Title DIRECTOR
Signature Date 12/18/18

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